Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elise Marie Ingram, PA-C

Individual provider Physician Assistant · NPI 1336650712

Elise Marie Ingram, PA-C is a Physician Assistant in New York, New York. Works from 4 locations. Licensed in New York.

Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

156 William St Rm 303
New York, NY 10038-5307
Phone: (888) 803-3370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3130 N Swan Rd, Tucson, AZ 85712-1227 — (315) 941-8588
  • 3130 N Swan Rd, Tucson, AZ 85712-1227 — (315) 941-8588
  • 3 Bridge St, Carthage, NY 13619-1360 — (315) 493-3300

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X · Licence 021853 (NY)

Record details

NPI number1336650712
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 12, 2017
Last updated in NPPESNovember 17, 2024
Certification dateNovember 17, 2024

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